Healthcare Provider Details

I. General information

NPI: 1285641837
Provider Name (Legal Business Name): RICHARD LEE FRIEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 SOUTH BUENA VISTA STREET 3RD FLOOR
BURBANK CA
91505-1204
US

IV. Provider business mailing address

181 S BUENA VISTA ST 3RD FLOOR
BURBANK CA
91505-4504
US

V. Phone/Fax

Practice location:
  • Phone: 818-847-4436
  • Fax: 818-847-8832
Mailing address:
  • Phone: 818-847-4431
  • Fax: 818-847-8832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberG623510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: